| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSOCIATED FINANCIAL GROUP LLC3 Filed as: ASSOCIATED FINANCIAL GROUP | 711 EISENHOWER DR KIMBERLY, WI 54136 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 4.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN INC | 400 N EXECUTIVE DR STE 300 BROOKFIELD, WI 53005 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.00% |
| TRACY GAHLMAN3 | WILLIS OF WISCONSIN, INC 2323 N MAYFAIR RD, STE 600 MILWAUKEE, WI 53226 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $324 | — | $324 | 4.83% |
| WILLIAM F CLANCY3 | 108 PALAFOX PL PENSACOLA, FL 32502 | NORTHWESTERN MUTUAL | $190 | $44 | $234 | 5.53% |
| WILLIAM JOHN COLLINS3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $95 | $24 | $119 | 2.81% |
| BRIAN P DIX3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $57 | $15 | $72 | 1.70% |
| JAMES PAPAGEORGE3 Filed as: JAMES ALAN SCHWERTFEGER | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $38 | $9 | $47 | 1.11% |
| THE HOLTER AGENCY INC3 | 100 E WISCONSIN AVE STE 2300 MILWAUKEE, WI 53202 | NORTHWESTERN MUTUAL | $39 | $3 | $42 | 0.99% |
| THOMAS R VAUGHN3 | 108 PALAFOX PL PENSACOLA, FL 32502 | NORTHWESTERN MUTUAL | $32 | $8 | $40 | 0.95% |
| WILLIAM S KOCH3 Filed as: WILLIAM S KOCK | 245 RIVERSIDE AVE STE 100 JACKSONVILLE, FL 32202 | NORTHWESTERN MUTUAL | $28 | $2 | $30 | 0.71% |
| CHRISTOPHER DAVID CARLSON3 | 500 W SILVER SPRING DR STE K-290 GLENDALE, WI 53217 | NORTHWESTERN MUTUAL | $6 | $1 | $7 | 0.17% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC | 400 N EXECUTIVE DR STE 300 BROOKFIELD, WI 53005 | SUN LIFE ASSURANCE COMPANY OF CANADA | $68 | — | $68 | 10.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF WISCONSIN, INC | 122 E COLLEGE AVE STE 201 APPLETON, WI 54911 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $46 | — | $46 | 10.98% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 496 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 46 | $404K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 496 | $114K |
| Short-term disability(3 contracts, 3 carriers) | NORTHWESTERN MUTUAL | 496 | $5K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 496 | $113K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 46 | $397K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 496 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 496 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.